person
Paul Mallamo, DPM
Primary Podiatric Medicine Podiatrist in Chesterfield, Michigan
NPI 1548385156

Paul Mallamo is a Primary Podiatric Medicine Podiatrist based in Chesterfield, MI and is specialized in Primary Podiatric Medicine. Paul Mallamo practices in Chesterfield, MI and has the professional credentials of DPM. The NPI Number for Paul Mallamo is 1548385156 and holds a License No. 5901001813 (Michigan).

The current practice location address for Paul Mallamo is 52526 Ford Ln, Chesterfield, MI and can be reached out via phone at 586-598-0455.

Location: 52526 Ford Ln, Chesterfield, MI, 48047-3514
person
Provider Profile Details
NPI Number
1548385156
Provider Name
Paul Mallamo
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
52526 Ford Ln, Chesterfield, MI, 48047-3514
Phone Number
586-598-0455
Fax Number
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4253362 05 MI
480030776 01 MI RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
52526 Ford Ln
City
State
Zip
48047-3514
Phone Number
586-598-0455
Fax Number
person
Provider Business Mailing Address Details
Address
52526 Ford Ln
City
State
Zip
48047-3514
Phone Number
586-598-0455
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
5901001813 (Michigan)
Definition
Definition to come...
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